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Trump Unveils Health Plan to Cut Drug Prices and Premiums, Pay Consumers Directly

Congressional support remains uncertain following the lapse of enhanced ACA subsidies.

Overview

  • The proposal would route federal funds straight to individuals through health accounts so people can buy their own coverage or care.
  • The White House says it will seek to codify a most-favored-nation policy that ties U.S. drug prices to the lowest prices paid in other countries.
  • The plan calls for fully funding ACA cost-sharing reductions for low-income enrollees in Silver plans, which analysts say could lower Silver premiums but raise net costs for some in Bronze and Gold plans.
  • Democrats criticized the direct-payment approach as insufficient to address high costs, and it was unclear whether any lawmaker was working to introduce the package.
  • The framework bundles earlier Trump-era measures with new transparency and insurer accountability aims, though key details on timing and implementation were not specified.